Adult Substance Use Disorder Programs

The General CSTAR Program serves male and female adults aged 17 years plus 9 months of age and over. Individuals are accepted without regard to race, creed, national origin, gender, disability or sexual orientation. To qualify for services, person(s)-served must have a substance use disorder/dependence diagnosis as determined by a licensed/provisionally licensed diagnostician.
  • The Stapleton Center  treatment center is located at 581 Hwy J North Across from Pemiscot Memorial Health Systems in Hayti, Missouri. The Stapleton General CSTAR program provides social detoxification, level I residential treatment, level I day treatment, intensive outpatient treatment and outpatient supported recovery treatment services and Substance Abuse Traffic Offender Program (SATOP). The business office is open Monday through Friday from 8:00am to 5:00pm.
  • The Turning Leaf Center  treatment center is located off 63 Hwy at 1015 Lanton Road. The Turning Leaf General CSTAR Program provides social detoxification, Level I Residential treatment, Level I day treatment, Intensive Outpatient treatment and Outpatient Supported Recovery treatment services, and Substance Abuse Traffic Offender Program (SATOP). The business office is open Monday through Friday from 8:00am to 5:00pm.
Residential (Level R1) services are on-site and provide 24-hour supervision, with a minimum of 60-hours of structured therapeutic activities per week. Clinical Services are provided seven (7) days a week. 
Level I Day Treatment program is provided Monday through Friday from 9:00am to 3:00pm. 
Level II Intensive Outpatient Treatment and Outpatient Treatment services are offered Monday through Friday from 9:00am to 3:00pm. Person(s)-served attend based on their individualized needs. The length of each level of care is based on individualized needs. 
Level III Outpatient redirects the person(s)-served with community support groups and counseling interventions.
General CSTAR also provides intake screening, comprehensive assessment, social detoxification, community support, group counseling, group education, co-occurring counseling, individual counseling, case management, family therapy, nursing, tele-health services, medication assisted services and drug screen services.
Funding Sources for the General CSTAR programs include private healthcare insurance, POS funds, Medicaid and private fees. The ability to pay is based on the Department of Behavioral Health sliding scale and the income of the person(s)-served. The fees are determined by family income and number of dependents. If it is determined that a person(s)-served has a monthly fee from the sliding scale, that fee is collected upon admission and at the first of each month thereafter as long as the individual remains active in treatment services.
Person(s)-served are referred from a variety of sources to include, but not limited to, self and family referrals; probation/parole officers; court system; Division of Family Services (DFS); attorneys; hospitals; physicians; community agencies; private practitioners; schools and community mental health centers.
Information regarding program structure and services is provided to all person(s)-served, family members and referral sources upon admission into the program. This information is provided in written form in the program handbook. The Scope of Service is also provided to payers and other relevant stakeholders as needed in order to help them understand what the program has to offer and determine whether it will meet the needs of the person(s)-served. Community relations activities also allow for the distribution of program information to the public through printed brochures and speaking engagements.
Clinical services are provided directly by program staff to include licensed social workers, licensed counselors, certified substance abuse professionals and nursing staff. Primary care needs are provided in cooperation with local medical providers. Mental health and psychiatric services are provided via tele-health communications.
Summary of Services
General CSTAR is a certified treatment program offering the component of residential care for specific needs of Adults, ages 17 and 9 month and over, addressing the issue of substance use and/or dependency. The General CSTAR Program's are compliant with applicable state and federal Medicaid requirements. Service delivery models and strategies are based on accepted practice in the field and the practice of evidence based treatment modalities. Services are designed and delivered to support the recovery, health and well-being of the person(s)-served; to enhance their quality of life, to reduce needs and build resiliency, improve functioning and support their integration back into the community.
Group Counseling is face-to-face, goal oriented therapeutic interaction among a counselor and two (2) or more person’s as specified in individual recovery care plans designed to promote the individual’s functioning and recovery through personal disclosure and interpersonal interaction among group members. The usual and customary size of group counseling sessions is eight (8) individuals and shall not exceed twelve (12) person’s-serviced in order to promote full participation, disclosure and feedback. Specialized group counseling topics include, but are not limited to: Anger Management, Relapse Prevention, gender specific groups, trauma groups and co-occurring specific groups.
Individual Counseling is a structured, goal-oriented therapeutic process in which the person(s)-served interacts on a face-to-face basis with a counselor in accordance with the individual’s rehabilitation plan in order to resolve problems related to substance use which interferes with the person(s)-served functioning. Various treatment modalities are provided by appropriately trained staff to include, but are not limited to: Motivational Interviewing, Cognitive Behavioral Therapy, Integrated Dual Disorders Treatment and Relapse Prevention Therapy.
Recreation/Healthy Living Activities are structured to promote development of positive leisure time activities to include the involvement in community, social, fitness, cultural, athletic and leisure activities offered as part of the program.
Nursing services are provided in order to monitor the overall health and wellness to include medication education; medication efficacy; health education; TB, HIV, STD screenings and preventative education. Primary care needs can be obtained for the person(s)-served through referral and collaboration with community resources. 
Medication Assisted Treatment (MAT) is an evidenced based practice that combines pharmacological interventions with substance use counseling and social support. All individuals in services with General CSTAR will be educated on available medication assisted treatment interventions. The program will provide staff that are trained and certified in the delivery of Medication Assisted Treatment services. 
Community Support services, consist of specific activities in collaboration with, or on behalf of the person(s)-served, are delivered in accordance with the recovery care plan. Community Support services maximize adjustment and functioning within the community while achieving sobriety and sustaining recovery, maximizing the involvement of natural support systems, and promoting independence and responsibility. Care Coordinators assist the individual in identifying available community resources and services to help them achieve recovery care plan goals. Care Coordinators have a working knowledge of health care, social services, employment, safe housing, recreational opportunities, transportation, and other services and systems available in the community. Care Coordinators also provide educational services regarding various daily living skills such as budgeting, meal planning and personal care. Community Support services are provided in any setting that allows the best access to services. Settings may include the treatment center, medical clinics, schools and/or community businesses. 
Co-Occurring Counseling is a service that provides counseling to those identified as having both a substance use diagnosis and a mental health diagnosis. Co-occurring issues are integrated into the recovery care plan and are provided by qualified personnel. Co-occurring specific groups are also provided. If it is determined that a person(s)-served needs a psychiatric evaluation, this service can be coordinated through the agency telemedicine program. The program is equipped with telemedicine equipment that will allow us to access agency psychiatrists as needed for routine and/or crisis psychiatry services. 
Doctor Services (Psychiatry) is provided for individuals who prefer to be treated with psychotherapy, counseling and/or case management, our staff provide medical, nursing and prescription medicine services through coordination with local agencies and follows all state and federal laws for dispensing prescription medicine.  
Alcohol and Drug Education consists of the presentation of general information regarding substances of use, and the application of the information to participants through group discussion designed to promote recovery. 
Group Education consists of the presentation of general information and application of the information to participants through group discussion in accordance with individualized treatment plans which are designed to promote recovery and enhance social functioning. The usual and customary size of group educational sessions shall not exceed thirty (30) person(s)-served.  
Examples of topics discussed in group education are:
  • Anger management
  • Self-esteem
  • Communication
  • Wellness/Health
  • Family issues        
  • Coping skills
  • PAWS symptoms
  • Adult issues
  • Substance use and its effects
  • Sexual issues and sex education
  • Gender specific issues
  • Relapse prevention strategies
  • Life skills                     
  • Early recovery
  • Domestic violence
  • Co-occurring issues
  • 12-Steps
  • Vocational Skills
  • Parenting
  • Peer Support Groups
  • Study Skills
  • Criminal Thinking
  • Suicide Prevention  
  • Self-Harm Prevention
  • Budgeting and Money Management Skills
  • Decision Making
  • Critical Thinking 
  • Problem Solving
  • Nutrition
  • Community Living Skills
  • Social Skills
  • Social Supports
  • Emergency Preparedness and Personal Safety